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	<title> &#187; Politics</title>
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		<title>Mistaken Death</title>
		<link>http://www.medicalbarista.com/2010/02/mistaken_death/</link>
		<comments>http://www.medicalbarista.com/2010/02/mistaken_death/#comments</comments>
		<pubDate>Thu, 25 Feb 2010 23:15:29 +0000</pubDate>
		<dc:creator>Dr. Kona</dc:creator>
				<category><![CDATA[In the News]]></category>
		<category><![CDATA[Politics]]></category>
		<category><![CDATA[health care reform]]></category>
		<category><![CDATA[hospitals in the news]]></category>

		<guid isPermaLink="false">http://www.medicalbarista.com/?p=289</guid>
		<description><![CDATA[While our country&#8217;s law makers are in the midst of a summit to reform our health care system, it&#8217;s nice to see that basic mistakes are still happening on the local level!  Check out this story on a communication error that happened at a Brooklyn hospital today. Basically, an employee at a Brooklyn hospital called [...]]]></description>
			<content:encoded><![CDATA[<p>While our country&#8217;s law makers are in the midst of a summit to reform our health care system, it&#8217;s nice to see that basic mistakes are still happening on the local level!  Check out <a href="http://abclocal.go.com/wabc/story?section=news/local&amp;id=7298268" target="_blank">this story</a> on a communication error that happened at a Brooklyn hospital today.</p>
<p>Basically, an employee at a Brooklyn hospital called a patient&#8217;s family to inform them that their relative had died.  The family was obviously distraught and started to make funeral arrangements.  When they got to the hospital to take care of the legal matters and collect the belongings, they found their loved one still in the ICU, mechanically ventilated, but moving her limbs spontaneously.  They were shocked and were told that she hadn&#8217;t died, but that they were wrongly informed.  Of course this will probably result in a law suit that the hospital will have to settle; however, at this time the family is only asking that the employee who called them be fired.</p>
<p>There are some problems with the health care system that Obama will obviously not be able to change.</p>
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		<title>Not my cup of tea-&#8221;Obama Care&#8221;</title>
		<link>http://www.medicalbarista.com/2009/08/not-my-cup-of-tea-obama-care/</link>
		<comments>http://www.medicalbarista.com/2009/08/not-my-cup-of-tea-obama-care/#comments</comments>
		<pubDate>Fri, 28 Aug 2009 15:24:22 +0000</pubDate>
		<dc:creator>doubleshot</dc:creator>
				<category><![CDATA[Politics]]></category>

		<guid isPermaLink="false">http://www.medicalbarista.com/?p=88</guid>
		<description><![CDATA[      A few years after “Obama care” is initiated, some scenarios are predictable. Since someone has to pay for the plan, it means increased taxes or increased national debt. Eventually, employers may encourage employees to enlist in a public plan instead of paying for health benefits. This may gradually put private insurance companies out of [...]]]></description>
			<content:encoded><![CDATA[<p>      A few years after “Obama care” is initiated, some scenarios are predictable. Since someone has to pay for the plan, it means increased taxes or increased national debt. Eventually, employers may encourage employees to enlist in a public plan instead of paying for health benefits. This may gradually put private insurance companies out of business, as they cannot compete with the “cheaper public plan”.  It is possible insurance rates may come down, finally cutting into the profits of private insurance and pharmaceutical companies.  Unless the government demands all doctors see public plan patients, certain specialists will increasingly see private insurance or cash-credit card patients. That will be further fueled by the lack of malpractice reform. Americans want “the best” medical care and expect immediate medical care. Millions of new patients cannot have <em>immediate</em> access to a doctor. Since the new plan will have a limited budget, rationing of tests and treatments will be more obvious.   Perhaps hospitals that have recently been shut down have to reopen to accommodate the new patient load. Such pressures would discourage the choice of medicine as a career, and create even fewer primary care physicians. A rapid change in policy would place the masses that are now happy with their health care benefits into an inferior system. A spiral down the drain is expected.</p>
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		<item>
		<title>Today&#8217;s Special: Latte &amp; Legislation</title>
		<link>http://www.medicalbarista.com/2009/08/todays-special-latte-legislation/</link>
		<comments>http://www.medicalbarista.com/2009/08/todays-special-latte-legislation/#comments</comments>
		<pubDate>Wed, 19 Aug 2009 11:58:58 +0000</pubDate>
		<dc:creator>Dr. Kona</dc:creator>
				<category><![CDATA[In the News]]></category>
		<category><![CDATA[Politics]]></category>

		<guid isPermaLink="false">http://www.medicalbarista.com/?p=60</guid>
		<description><![CDATA[And just when you thought the federal government was making major overhauls in healthcare policy, the LA Times reports on states doing the same. This time; however, doctors (and patients for that matter) might have been given a break. An Oklahoma judge just yesterday overturned a law passed in 2008 requiring doctors to describe to [...]]]></description>
			<content:encoded><![CDATA[<p>And just when you thought the federal government was making major overhauls in healthcare policy, the <a href="http://www.latimes.com/news/nationworld/nation/la-na-abortion19-2009aug19,0,5998450.story" target="_self">LA Times</a> reports on states doing the same. This time; however, doctors (and patients for that matter) might have been given a break. An Oklahoma judge just yesterday overturned a law passed in 2008 requiring doctors to describe to patients seeking abortions particular features of the fetus on ultrasound prior to the patient making the decision of whether or not to proceed with the abortion.  The thought was that if doctors were forced to provide human descriptors of the fetus to the patient, it would somehow persuade her into thinking twice about having an abortion.  Let&#8217;s raise our mugs to Judge Robertson for realizing the coercion underlying that law.</p>
<p>Another provision of the law allowed doctors to refuse to participate in the treatment of patients undergoing elective termination of pregnancy, which was also overturned.  This certainly stirs up some debate as to whether doctors can be forced to participate in something they feel is morally or ethically challenging.  The care of the patient, under whatever circumstance, should be the first priority.</p>
<p>Lastly, the Oklahoma law required clinics performing elective terminations to identify themselves by placing a sign or symbol on the outside of the building.  Thanks again, Judge Robertson, for getting rid of this discriminatory piece of legislature.  While it&#8217;s always beneficial for patients to find health care as easily as possible, this is not the way to do it.  If anyone has walked or driven by the outside of a Planned Parenthood clinic, you know that there is a religious-based posse of protesters harassing the patients who walk into the clinic, again trying to persuade them to think twice about having an abortion.  While it is the protesters&#8217; First Ammendment-guaranteed right to be there having their voices heard, it is not the government&#8217;s right to advertise places for them to meet, with the result being more intimidation felt by the patients visiting these offices, whether they&#8217;re there for a pregnancy termination or other appointment.</p>
<p>You can find out more about individual state laws on elective termination of pregnancy by visiting the <a href="http://www.guttmacher.org/statecenter/" target="_self">Guttmacher Institute</a>.</p>
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		<title>Try our new roast &#8211; Health Care Reform &#8211; it&#8217;s extra bitter!</title>
		<link>http://www.medicalbarista.com/2009/08/try-our-new-roast-health-care-reform-its-extra-bitter/</link>
		<comments>http://www.medicalbarista.com/2009/08/try-our-new-roast-health-care-reform-its-extra-bitter/#comments</comments>
		<pubDate>Wed, 12 Aug 2009 23:46:20 +0000</pubDate>
		<dc:creator>Dr. Kona</dc:creator>
				<category><![CDATA[Politics]]></category>

		<guid isPermaLink="false">http://www.medicalbarista.com/?p=27</guid>
		<description><![CDATA[You&#8217;ve probably seen this video on various web sites and television news programs.  It features Representative David Scott, a Democrat from Georgia, responding to a urologist&#8217;s question about his position on health care reform.  Scott scolds, or should I say, scalds the doctor for using a traffic meeting as an opportunity to have his voice [...]]]></description>
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<p><span style="color: #000000;">You&#8217;ve probably seen this <a href="http://www.youtube.com/watch?v=IP-xQCIhctc" target="_self">video</a> on various web sites and television news programs.  It features Representative David Scott, a Democrat from Georgia, responding to a urologist&#8217;s question about his position on health care reform.  Scott scolds, or should I say,</span> <span style="color: #000000;"><em>scalds</em></span> <span style="color: #000000;">the doctor for using a traffic meeting as an opportunity to have his voice heard.  The urologist waited until the end of the meeting to bring up the health care issue, after having contacted Scott&#8217;s office multiple times to arrange for a formal discussion specifically about health care and was denied.  It&#8217;s sad to see that our representatives are working so hard on reforming our health care system, but don&#8217;t want to hear the opinions of those they represent.</span> <span style="color: #000000;"><span style="color: #993300;">This cup o&#8217; joe really leaves a bad taste in the mouth&#8230;</span></span></p>
<p><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">Here are some brief high lights from the health care reform bill (HR 3200)</span></span></span></p>
<ul>
<li><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">national health care plan available to all individuals<br />
</span></span></span></li>
<li><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">government committee overseeing allocation of resources</span></span></span></li>
<li><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">physicians will have to participate in the plan, and the government will determine reimbursement rates<br />
</span></span></span></li>
<li><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">employers must enroll employees in the plan, or they will be taxed</span></span></span></li>
</ul>
<p><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">There continues to be a lot of <em>coffee talk</em> on the web about this issue, as well as in Congress.  An ammendment just passed on August 3rd that allows physicians and hospitals to negotiate payments rather than having to swallow the unacceptably low medicare rates previously proposed by the plan. </span></span></span><span style="color: #000000;"><span style="color: #993300;"><span style="color: #000000;">Keep track of the latest revisions and ammendments to HR 3200 by going to <a href="http://www.govtrack.us/congress/bill.xpd?bill=h111-3200" target="_self">GovTrack</a>.<br />
</span></span></span></p>
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